정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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정신건강의학과 직원 대상의 마음챙김명상 기반 인지치료의 효과

The Effect of Mindfulness-Based Cognitive Therapy on Psychiatric Staff

  • 강범승 (서남대학교 의과대학 명지병원 정신건강의학과) ;
  • 양혜정 (서남대학교 의과대학 명지병원 정신건강의학과) ;
  • 홍민하 (서남대학교 의과대학 명지병원 정신건강의학과) ;
  • 김현수 (서남대학교 의과대학 명지병원 정신건강의학과) ;
  • 송후림 (서남대학교 의과대학 명지병원 정신건강의학과) ;
  • 김영종 (서남대학교 의과대학 명지병원 정신건강의학과) ;
  • 김우정 (서남대학교 의과대학 명지병원 정신건강의학과)
  • Kang, Bum Seung (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Yang, Hey Jung (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Hong, Min Ha (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Kim, Hyun Soo (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Song, Hoo Rim (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Kim, Young Jong (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital) ;
  • Kim, Woo Jung (Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital)
  • 투고 : 2016.11.11
  • 심사 : 2017.03.16
  • 발행 : 2017.06.30
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초록

연구목적 정신건강의학과 직원들이 겪는 임상현장에서의 과도한 업무 스트레스, 소진의 심화, 업무 만족도 감소 등으로 인해, 전반적인 근무 효율이 저하되거나 스스로의 정신건강 관리에 어려움을 겪을 가능성이 증가할 수 있다. 정신건강의학과 직원을 대상으로 한 그룹 Mindfulness-Based Cognitive Therapy(이하 MBCT)의 업무 스트레스, 소진, 자기 효능감, 회복력, 업무 만족도에 대한 효과를 알아보고자 하였다. 방법 일 종합병원 정신건강의학과 소속 직원 중 5개 직역 28명을 대상으로 연구 참여 동의 하에 그룹 MBCT를 시행하였다. MBCT 시행 전 후에 각각 업무 스트레스, 소진, 회복력, 자기 효능감, 업무 만족도를 자가보고식 도구를 이용하여 측정하였고, 그룹 MBCT의 효과를 비교하기 위해 각 척도 별 MBCT 전 후 점수를 비교하였다. 결과 각 척도 별 그룹 MBCT 시행 전 후의 업무 스트레스, 소진 척도 점수는 MBCT 시행 후 유의한 감소를 보였으며, 회복력, 업무 만족도, 자기 효능감 척도 점수는 MBCT 시행 후에 시행 전보다 유의한 증가를 나타내었다. 결론 정신건강의학과 직원 대상의 그룹 MBCT가 직원들의 업무 스트레스와 소진을 줄이고, 회복력, 자기 효능감 및 업무 만족도를 향상시키는 데에 도움이 되는 것으로 나타났다. 이는 정신건강의학과 치료환경에서 직원들이 그룹 MBCT를 통하여 본인의 정신건강을 증진시킬 수 있음을 시사한다. 정신건강의학과 직원들의 정신건강 증진은, 나아가 치료환경에 있는 환자에게도 긍정적인 영향을 끼칠 수 있을 것이다.

Objectives : Psychiatric staffs may experience excessive work stress, burnout, and reduced job satisfaction in clinical settings. This can increase chances of diminishing their overall working efficiency or having difficulty managing their own mental health. The purpose of this study was to investigate the effect of group mindfulness-based cognitive therapy(MBCT) on job stress, burnout, self-efficacy, resilience, and job satisfaction. Methods : Twenty eight psychiatric staffs who agreed to participate in the study were included. Self-report questionnaires were used to measure job stress, burnout, resilience, self-efficacy, and job satisfaction. To examine the effects of group MBCT, the scores were compared before and after MBCT. Results : Work stress and burnout scale scores were significantly decreased after group MBCT. Resilience, job satisfaction, and self-efficacy scale scores were significantly increased after group MBCT. Conclusions : In the current study, group MBCT for psychiatric staffs helped to reduce their work stress and burnout, and, as well, helped to improve resilience, self-efficacy, and job satisfaction. This suggests that, in mental health treatment settings, psychiatric staffs can improve their mental health through group MBCT. Improving mental health of psychiatric staff may also have a positive impact on their patients.

키워드

참고문헌

  1. Della Valle E, De Pascale G, Cuccaro A, Di Mare M, Padovano L, Carbone U, Farinaro E. Burnout: rising interest phenomenon in stressful workplace. Ann Ig 2006;18:171-177.
  2. Braithwaite M. Nurse burnout and stress in the NICU. Adv Neonatal Care 2008;8:343-347. https://doi.org/10.1097/01.ANC.0000342767.17606.d1
  3. Onder C, Basim N. Examination of developmental models of occupational burnout using burnout profiles of nurses. J Adv Nurs 2008;64:514-523. https://doi.org/10.1111/j.1365-2648.2008.04818.x
  4. Argentero P, Dell'Olivo B, Ferretti MS. Staff burnout and patient satisfaction with the quality of dialysis care. Am J Kidney Dis 2008;51:80-92. https://doi.org/10.1053/j.ajkd.2007.09.011
  5. Alacacioglu A, Yavuzsen T, Dirioz M, Oztop I, Yilmaz U. Burnout in nurses and physicians working at an oncology department. Psychooncology 2009;18:543-548. https://doi.org/10.1002/pon.1432
  6. Kathryn W, Marie PB. Work stress and health. Health Rep 1998;10:47-62.
  7. Kabat-Zinn J, Lipworth L, Burney R, Sellers W. Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: treatment outcomes and compliance. Clin J Pain 1986;2:159-173. https://doi.org/10.1097/00002508-198602030-00004
  8. Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, Lenderking WR, Santorelli SF. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry 1992;149:936-943. https://doi.org/10.1176/ajp.149.7.936
  9. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. 1st edition. New York, Guilford Press;2002.
  10. Elizabeth AT. Developing cultural intelligence for global leadership through mindfulness. J Teach Int Bus 2014;25:5-24. https://doi.org/10.1080/08975930.2014.881275
  11. Kim JE, Kim JH, Kim MRH. The effects of mindfulness meditation on chronic headaches, stress, and negative emotions in high school teachers, Kor J Psychol Health 2015;20:35-52. https://doi.org/10.17315/kjhp.2015.20.1.003
  12. Katharine AR, Janet W. Pilot study of mindfulness-based cognitive therapy for trainee clinical psychologists. Behav Cogn Psychother 2011;39:235-241. https://doi.org/10.1017/S1352465810000731
  13. Hulsheger UR, Alberts HJ, Feinholdt A, Lang JW. Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. J Appl Psychol 2013;98:310-325. https://doi.org/10.1037/a0031313
  14. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Translated by Lee WK, Mindfulness-based cognitive therapy, Hakjisa. 2006.
  15. Park JU. The relationship between job stress and burnout of psychiatric nurses(dissertation), Seoul: Ewha Womans University; 2007.
  16. Maslach C, Jackson SE. The measurement of experienced burnout, J Organ Behav 1981;2:99-113. https://doi.org/10.1002/job.4030020205
  17. Lee NH. A study on the relationship between burnout, job stress and self-efficacy in psychiatric nurses. Nurs Science 2011;23:47-59.
  18. Wagnild GM, Young HM. Development and psychometric evaluation of resilience scale. J Nurs Meas 1993;1:165-178.
  19. Kim MY. Somatic symptom, resilience and turnover intention of new nurses(dissertation), Seoul: The Catholic University of Korea;2014.
  20. Sherer M, Maddux JE. The self-efficacy scale: construction and validation. Psychol Rep 1982;51:663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  21. Kim HJ, Bae JY. A study on the work stress, self-efficacy and job satisfaction of psychiatric nurses. Kor J Cris Emerg Manag 2014;6:21-32.
  22. Stamps PL, Piedmont EB, Slavitt DB, Haase AM. Measurement of work satisfaction among health professionals. Med care 1978;16:337-352. https://doi.org/10.1097/00005650-197804000-00006
  23. Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G. Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. J Psychosom Res 1997;43:51-59. https://doi.org/10.1016/S0022-3999(97)00086-X
  24. Rothmann S. Job satisfaction, occupational stress, burnout and work engagement as components of work-related wellbeing. SA J Ind Psychol 2008;34:11-16.
  25. Muhammad M, Sabtain F, Saima N, Zubair A. The Impact of job stress on employee job satisfaction a study on telecommunication sector of Pakistan. J Bus Stud Quart 2011;2:50-56.
  26. Matos, PS, Neushotz, LA, Griffin, MTQ, Fitzpatrick JJ. An exploratory study of resilience and job satisfaction among psychiatric nurses working in inpatient units. Int J Ment Health Nurs 2010;19:307-312. https://doi.org/10.1111/j.1447-0349.2010.00690.x
  27. Schwarzer R, Hallum S. Perceived teacher self-efficacy as a predictor of job stress and burnout: Mediation analyses. Appl Psychol: Int Review 2008;57:152-171. https://doi.org/10.1111/j.1464-0597.2008.00359.x
  28. Brian DO, Michael DR, Brian PM. Handbook of mindfulness and self-regulation. Springer;2015.
  29. Burgoon JK, Berger CR, Waldron VR. Mindfulness and interpersonal communication. J Soc Issues 2000;56:105-127. https://doi.org/10.1111/0022-4537.00154
  30. Horton-Deutsch SL, Horton JM. Mindfulness: Overcoming intractable conflict. Arch Psychiatr Nurs 2003;17:186-193. https://doi.org/10.1016/S0883-9417(03)00089-X
  31. Allison ST, Iris BM. Resilience in the face of stress: emotion regulation as a protective factor, Resilience and mental health: Challenges Across the Lifespan;2011. p.30-44.
  32. Michie S. Causes and management of stress at work, Occup Environ Med 2002;59:67-72. https://doi.org/10.1136/oem.59.1.67
  33. Zolnierczyk D. Perceived job stressors and mindfulness-based cognitive stress management intervention: The role of type A and reactivity. Pol Psychol Bulletin 2004;35:25-33.
  34. Williams K. Mindfulness-based stress reduction(MBSR) in a worksite wellness program, Mindfulness-based treatment approaches: Clinician's guide to evidence base and applications ;2006. p.361-376.
  35. Cohen-Katz J, Wiley SD, Capuano T, Baker D, Shapiro S. The effects of mindfulness-based stress reduction on nurse stress and burnout: A quantitative and qualitative study. Holist Nurs Pract 2004;18:302-308. https://doi.org/10.1097/00004650-200411000-00006
  36. Day PO, Horton-Deutsch S. Using mindfulness-based therapeutic interventions in psychiatric nursing practice. Arch Psychiatr Nurs 2004;18:164-177. https://doi.org/10.1016/j.apnu.2004.07.003
  37. Shapiro S, Brown KW, Biegel GM. Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Train Educ Prof Psychol 2007;1:105-115.
  38. Grepmair L, Ferdinand M, Thomas L, Egon B, Wolfhardt R, Marius N. Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychother Psychosom 2007;76:332-338. https://doi.org/10.1159/000107560
  39. Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, Segal ZV, Susan A, Michael S, Drew V, Gerald D. Mindfulness: a proposed operational definition. Clin Psychol: Sci Prac 2004;11:230-241. https://doi.org/10.1093/clipsy.bph077
  40. Kabat-Zinn J, Lipworth L, Burney R. The clinical use of mindfulness influences the treatment results of their patients: A randomized, double-blind, controlled meditation for the self-regulation of chronic pain. J Behav Med 1985;8:163-190. https://doi.org/10.1007/BF00845519